Individual provider Active NPI

Eric L Balfour, M.D.

  • Radiation Oncology Physician
  • Jackson, MS
National Provider Identifier
1861442436
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
18896 Issued in MS
Practice address
2969 Curran Dr N
Jackson, MS 39216-4121
Phone
(601) 200-3070
Fax
(601) 200-3172
NPI assigned
May 12, 2006
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 18896 MS Primary

Addresses

Primary practice location

2969 Curran Dr N
Jackson, MS 39216-4121

Mailing address

PO Box 4997
Jackson, MS 39296-4997
Phone (601) 362-0600

Other practice location 1

2368 Grove St
Vicksburg, MS 39183-2857
Phone (601) 638-3005

Other practice location 2

1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-1416

Other identifiers 7

IdentifierTypeStateIssuer
000671542MedicaidMS
3329068MedicaidTN
207209909MedicaidMO
00671542MedicaidMS
4108904OtherTNTN BCBS
1861442436OtherMSNPI
83369OtherARAR BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000900 MS Practitioner - Radiation Oncology 1052353208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Louisiana State University School of Medicine in Shreveport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology of Mississippi PAGroup PAC ID 6800787961, 7 clinicians

Practice addresses (Care Compare)

2969 Curran Dr N
St. Dominic Cancer Center
Jackson, MS 39216-4121
Phone (601) 200-3070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.25 of 100Reported as group
Quality
58.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology of Mississippi PA Radiation Oncology CurrentSince Oct 15, 2007 Accepting new patients
Mid-South Imaging & Therapeutics, P.a. Past Accepting new patients
Vicksburg Oncology Associates LLC Radiation Oncology Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

2969 Curran Dr N
Jackson, MS 39216
Phone (601) 200-3070

2368 Grove St
Vicksburg, MS 39183
Phone (601) 362-0600

Interoperability endpoints

  • Direct secure messaging: ebalfour171940@direct.bmhcc.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1861442436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4997",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392964997",
            "telephone_number": "601-362-0600",
            "fax_number": "601-362-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 CURRAN DR N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164121",
            "telephone_number": "601-200-3070",
            "fax_number": "601-200-3172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2368 Grove St",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391832857",
            "country_code": "US",
            "telephone_number": "601-638-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-1416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALFOUR",
        "first_name": "ERIC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MS",
            "license": "18896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000671542",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3329068",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207209909",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00671542",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BCBS",
            "identifier": "4108904",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861442436",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "83369",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.